NPI | 1699068619 |
---|---|
Former Name | PATIENCE HARDAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: PA SW128367) |
Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW 7292) |
1041C0700X Social Worker, Clinical (Licence: FL SW11953) | |
1041C0700X Social Worker, Clinical (Licence: VA 0904008799) | |
1041C0700X Social Worker, Clinical (Licence: WY LSWW-1409) | |
Enumeration Date | 2011-05-24 |
Last Update Date | 2023-03-01 |