NPI | 1811906167 |
---|---|
Former Name | ANGELA J O'NEIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2001017180) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 100071) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2017-08-23 |