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 |