NPI | 1003117227 |
---|---|
Former Name | DANA ILIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 4445-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077231) |
Enumeration Date | 2010-11-04 |
Last Update Date | 2023-11-06 |