NPI | 1811729650 |
---|---|
Former Name | ELVINA ANGELICA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 125302) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NA) |
104100000X Social Worker (Licence: WA SC61573396) | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2024-08-19 |
Last Update Date | 2024-12-09 |