NPI | 1396178828 |
---|---|
Former Name | RACHEL DAWN KORNFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020221) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW132081) |
Enumeration Date | 2013-08-20 |
Last Update Date | 2019-04-17 |