NPI | 1023228616 |
---|---|
Former Name | CONSTANCE M COTTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 027833-1) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 027833-1) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2007-07-08 |