NPI | 1326337429 |
---|---|
Former Name | KATHERINE SOPHIA DEWEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006123A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019205) |
Enumeration Date | 2011-03-30 |
Last Update Date | 2016-08-23 |