NPI | 1114638848 |
---|---|
Former Name | CAITLIN MARIE BOGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC23114) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09929949) |
Enumeration Date | 2022-12-13 |
Last Update Date | 2024-07-18 |