| NPI | 1497812804 |
|---|---|
| Former Name | ALICIA RUTH COGDILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 8588) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 8588) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-06-25 |