NPI | 1851553788 |
---|---|
Former Name | DEBORAH BOBANGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088480) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS14688) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2020-11-25 |