NPI | 1710680277 |
---|---|
Former Name | ALANNA WENGROW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: PA SW137553) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW024653) |
Enumeration Date | 2023-03-23 |
Last Update Date | 2024-05-24 |