NPI | 1093215014 |
---|---|
Former Name | CATHY ALICIA RUFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 92847) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078839) |
Enumeration Date | 2018-02-16 |
Last Update Date | 2024-08-06 |