NPI | 1497418917 |
---|---|
Former Name | SYDNEY KEESLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW025696) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker (Licence: NY 114249) | |
Enumeration Date | 2021-10-21 |
Last Update Date | 2025-04-07 |