NPI | 1154975423 |
---|---|
Former Name | SIRINA RAUFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9982123) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker (Licence: WI 131277-121) | |
Enumeration Date | 2019-07-25 |
Last Update Date | 2023-04-11 |