NPI | 1023311875 |
---|---|
Former Name | MONICA POPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW004591) |
Additional Taxonomies | 104100000X Social Worker (Licence: GA BL-008203) |
Enumeration Date | 2010-12-17 |
Last Update Date | 2021-02-16 |