NPI | 1801565163 |
---|---|
Former Name | TARA A ROCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW103675) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 103675) |
Enumeration Date | 2021-09-09 |
Last Update Date | 2024-11-27 |