| NPI | 1609506377 |
|---|---|
| Former Name | MOESHA BERNICE ANN GODWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024932) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW138728) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2024-08-28 |