NPI | 1861987109 |
---|---|
Former Name | MELODIE MARIE FITZPATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34011018A) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2018-06-28 |
Last Update Date | 2024-06-21 |