NPI | 1982236618 |
---|---|
Former Name | DEVON E NOWICKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016735) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013742) |
Enumeration Date | 2020-02-11 |
Last Update Date | 2024-06-27 |