NPI | 1629275904 |
---|---|
Former Name | AISHA M IVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14637) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078717) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2025-07-09 |