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 |