NPI | 1457863292 |
---|---|
Former Name | AUTUM ROSE HOVDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-11-02 |
Last Update Date | 2019-05-24 |