NPI | 1902245905 |
---|---|
Former Name | GWENDOLYN K REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW018315) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904004052) |
Enumeration Date | 2013-06-24 |
Last Update Date | 2024-05-28 |