NPI | 1558942847 |
---|---|
Former Name | AMANDA CALKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020370) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 106807) |
1041C0700X Social Worker, Clinical (Licence: OH I.2002370) | |
Enumeration Date | 2021-04-19 |
Last Update Date | 2021-04-19 |