| NPI | 1770082851 |
|---|---|
| Former Name | SOFIA SASOONERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 16812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 76388) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2019-06-11 |