NPI | 1023566585 |
---|---|
Former Name | LEAH RACHEL SAKODA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103812) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 094803) |
1041C0700X Social Worker, Clinical (Licence: NJ 44SC05951600) | |
Enumeration Date | 2016-09-13 |
Last Update Date | 2022-01-24 |