| NPI | 1891386827 |
|---|---|
| Former Name | ALLIE ISERLOTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9488) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 9488-123) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-11-04 |