NPI | 1508959594 |
---|---|
Other Name | PEGGY WIDENER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 73336) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005467) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2018-08-02 |