NPI | 1659774628 |
---|---|
Former Name | ALEXANDRA MARIE NDEGWA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61118940) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61118940) |
Enumeration Date | 2014-10-03 |
Last Update Date | 2022-09-01 |