NPI | 1972231751 |
---|---|
Former Name | TORI SARAH VOGT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6308) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 100180) |
104100000X Social Worker (Licence: SD 5190) | |
104100000X Social Worker (Licence: IA 100180) | |
Enumeration Date | 2022-08-10 |
Last Update Date | 2023-07-14 |