NPI | 1962768572 |
---|---|
Former Name | JULIET IFEOBU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW007463) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2012-04-09 |
Last Update Date | 2022-08-28 |