NPI | 1316201627 |
---|---|
Former Name | IRENE BETH KLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019169) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW129149) |
Enumeration Date | 2012-07-02 |
Last Update Date | 2016-08-18 |