NPI | 1326573825 |
---|---|
Former Name | ROSE TOMS ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904063114) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw 11116) |
Enumeration Date | 2017-04-22 |
Last Update Date | 2023-10-20 |