| NPI | 1801622287 |
|---|---|
| Former Name | SOPHIA MARIE ISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P02068) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |