NPI | 1457702912 |
---|---|
Former Name | PAMELA M LEIKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 5153) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 5153) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2021-09-21 |