NPI | 1033444914 |
---|---|
Former Name | ANN BATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05619100) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018666) |
Enumeration Date | 2009-10-09 |
Last Update Date | 2018-03-17 |