| NPI | 1578977161 |
|---|---|
| Former Name | ALICIA SUE BOGGIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCS25452) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 25452) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2015-04-15 |