| NPI | 1134550361 |
|---|---|
| Former Name | EMILY ELNORA GOODWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018959) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 9918) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2025-01-24 |