NPI | 1659654846 |
---|---|
Former Name | LISA R WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: PA CW019882) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW128848) |
1041C0700X Social Worker, Clinical (Licence: PA CW019882) | |
Enumeration Date | 2011-09-23 |
Last Update Date | 2022-06-30 |