NPI | 1033577440 |
---|---|
Former Name | GABRIELLE NEWMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090126) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 095510) |
Enumeration Date | 2016-02-01 |
Last Update Date | 2020-09-17 |