NPI | 1063144400 |
---|---|
Former Name | SARAH DEVON WESLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09928585) |
Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009923060) |
Enumeration Date | 2022-06-24 |
Last Update Date | 2023-03-22 |