NPI | 1033891072 |
---|---|
Former Name | ARIANA SOPHIA WOLK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW21678) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904017024) |
Enumeration Date | 2023-08-01 |
Last Update Date | 2024-09-06 |