NPI | 1174884654 |
---|---|
Former Name | BOBBI BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022040605) |
Additional Taxonomies | 104100000X Social Worker (Licence: AR 9070-M) |
1041C0700X Social Worker, Clinical (Licence: MO 2022027300) | |
1041C0700X Social Worker, Clinical (Licence: AR 9070M) | |
Enumeration Date | 2012-05-31 |
Last Update Date | 2024-01-25 |