NPI | 1245692508 |
---|---|
Former Name | DAWN ANNE WEISENBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 18532) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009338) |
Enumeration Date | 2016-03-25 |
Last Update Date | 2023-07-28 |