| NPI | 1871036590 |
|---|---|
| Former Name | CAILEE FITZGERALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.020807) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.102317) |
| 104100000X Social Worker (Licence: MO 2016028196) | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2019-02-07 |