NPI | 1174580609 |
---|---|
Former Name | LAURIE ANN JAMISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: PA SW123303) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: PA ED Hm School Visitor) |
1041C0700X Social Worker, Clinical (Licence: PA CW123303) | |
Enumeration Date | 2006-04-27 |
Last Update Date | 2007-07-08 |