NPI | 1205872991 |
---|---|
Former Name | LINDA SWACKHAMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW012627) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA CW012627) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2020-09-14 |