NPI | 1821400334 |
---|---|
Former Name | NIKOO RAOOFIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15743) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018054) |
Enumeration Date | 2014-06-02 |
Last Update Date | 2016-12-23 |