NPI | 1770611527 |
---|---|
Former Name | NIKKIMAH PEARLINE AMIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009333) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW126150) |
1041C0700X Social Worker, Clinical (Licence: PA CW016406) | |
1041S0200X Social Worker, School (Licence: KY KY-5125) | |
Enumeration Date | 2007-03-02 |
Last Update Date | 2022-01-29 |