NPI | 1205528692 |
---|---|
Former Name | SHEMIKA HOPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258611) |
Additional Taxonomies | 104100000X Social Worker (Licence: KY 253012) |
Enumeration Date | 2023-05-23 |
Last Update Date | 2024-01-18 |