NPI | 1013169556 |
---|---|
Former Name | JILLIAN LANDAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079767) |
Additional Taxonomies | 1041S0200X Social Worker, School |
Enumeration Date | 2008-10-15 |
Last Update Date | 2020-01-14 |