NPI | 1861721110 |
---|---|
Former Name | MARIA MCDERMOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R080492-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080334) |
Enumeration Date | 2009-12-16 |
Last Update Date | 2020-12-10 |