Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 116209 | MA |
NPI | 1003014580 |
---|---|
Provider Name | Caroline Aller |
First Address | Amherst, MA 01002-3802 |
Second Address | Amherst, MA 01002-3802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2007 |
Last Update Date | 07/10/2011 |