| NPI | 1942673611 |
|---|---|
| Former Name | ELLEN DORSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21344) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 73 080672) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |