NPI | 1366797474 |
---|---|
Former Name | SKY COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6686-C) |
Additional Taxonomies | 104100000X Social Worker (Licence: AR 6686-M) |
Enumeration Date | 2012-07-16 |
Last Update Date | 2022-12-02 |