NPI | 1104203983 |
---|---|
Former Name | AKIRAH ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019924) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA SW131347) |
Enumeration Date | 2015-04-30 |
Last Update Date | 2019-03-29 |