NPI | 1215316062 |
---|---|
Former Name | SKYE ALBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 70523) |
Additional Taxonomies | 104100000X Social Worker (Licence: ND 5041) |
1041C0700X Social Worker, Clinical (Licence: CO 09928397) | |
Enumeration Date | 2015-05-27 |
Last Update Date | 2025-01-02 |