NPI | 1891160271 |
---|---|
Former Name | MONICA WALLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011583) |
Additional Taxonomies | 104100000X Social Worker (Licence: NC C011583) |
Enumeration Date | 2015-12-10 |
Last Update Date | 2025-06-18 |