| NPI | 1891136081 |
|---|---|
| Former Name | HAZEL ANN MCLEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NY 087620) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 087620) |
| 101YP2500X Counselor, Professional (Licence: NY 087620) | |
| 101YS0200X Counselor, School (Licence: NY 087620) | |
| 103K00000X Behavior Analyst (Licence: NY 087620) | |
| 104100000X Social Worker (Licence: NY 087620) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 087620) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2015-01-21 |