NPI | 1801250402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019247) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-316831) |
104100000X Social Worker (Licence: PA SW130660) | |
Enumeration Date | 2016-04-09 |
Last Update Date | 2025-01-20 |