NPI | 1740581966 |
---|---|
Former Name | LORI KESSNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017101) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW126377) |
Enumeration Date | 2010-11-04 |
Last Update Date | 2019-07-09 |