Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003081852 |
---|---|
Provider Name | Mary Albright |
First Address | Honolulu, HI 96817-2115 |
Second Address | Honolulu, HI 96816-2317 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2008 |
Last Update Date | 23/04/2008 |