| NPI | 1982036687 |
|---|---|
| Former Name | EMILIE ANNE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 72747) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1860) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2024-10-08 |