NPI | 1114045531 |
---|---|
Former Name | ELIZABETH ENGLISH MOGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1099) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 19723) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2021-04-21 |