NPI | 1578626461 |
---|---|
Former Name | ALLYSON SPENCER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018848) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075486) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2016-03-08 |