NPI | 1245755289 |
---|---|
Former Name | EMMA BEDFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021093) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW127559) |
Enumeration Date | 2017-08-10 |
Last Update Date | 2024-05-22 |