NPI | 1841497658 |
---|---|
Former Name | NANCY M FITZPATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017946) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA C.A.C. 7131) |
Enumeration Date | 2007-06-27 |
Last Update Date | 2014-01-31 |