NPI | 1578129375 |
---|---|
Former Name | ELISABETH ABDILOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104761) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 89490) |
Enumeration Date | 2019-05-16 |
Last Update Date | 2021-10-21 |