NPI | 1689052813 |
---|---|
Former Name | AISHA KHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16655) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004935) |
Enumeration Date | 2015-05-07 |
Last Update Date | 2020-06-26 |