NPI | 1306597893 |
---|---|
Former Name | NOMPILO LOICE SHAVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SWIA.SC.61397952) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2022-01-16 |
Last Update Date | 2023-03-23 |