NPI | 1912444860 |
---|---|
Former Name | ALICIA MAHONY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122924) |
Enumeration Date | 2017-01-30 |
Last Update Date | 2022-09-26 |