NPI | 1023177763 |
---|---|
Former Name | CELESTE KROCHAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R049232) |
Additional Taxonomies | 1041S0200X Social Worker School (Licence: NY R049232-1) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2009-04-21 |