NPI | 1962868158 |
---|---|
Former Name | TRINITY NICHOLAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00943183) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV CP00943183) |
Enumeration Date | 2016-01-05 |
Last Update Date | 2024-07-23 |