NPI | 1891161758 |
---|---|
Former Name | RYAN ELIZABETH MARSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005283) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05581200) |
1041C0700X Social Worker Clinical (Licence: FL SW11396) | |
Enumeration Date | 2015-08-14 |
Last Update Date | 2021-04-26 |