NPI | 1629315155 |
---|---|
Former Name | ELIZABETH ANN WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018707) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA sw129959) |
Enumeration Date | 2013-01-03 |
Last Update Date | 2022-07-21 |