| NPI | 1477591550 |
|---|---|
| Professional Name | PENNI ACKERMAN WALLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C000536) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 255) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-10-29 |