NPI | 1144796699 |
---|---|
Other Name | AEON VEGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256742) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1802969) |
104100000X Social Worker (Licence: KY 256742) | |
Enumeration Date | 2018-10-22 |
Last Update Date | 2022-08-04 |