| NPI | 1457335952 |
|---|---|
| Former Name | MISTY SUE HAWK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016341) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW126028) |
| 174400000X Specialist (Licence: PA CW016341) | |
| 174400000X Specialist | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2021-07-15 |