NPI | 1619340627 |
---|---|
Former Name | FAITH URBOM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY CSW-297) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2015-11-12 |
Last Update Date | 2023-08-17 |