NPI | 1811339039 |
---|---|
Former Name | EMILY ROSE MENART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120684) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-07-29 |
Last Update Date | 2021-06-24 |