NPI | 1760146906 |
---|---|
Former Name | ROSA V BANGURA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27570) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904018559) |
Enumeration Date | 2021-10-25 |
Last Update Date | 2025-08-27 |