| NPI | 1013410281 |
|---|---|
| Former Name | BARBARA ANNE BANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA E) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018084) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |