NPI | 1053544908 |
---|---|
Former Name | TATYANA VOLOKITIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080993) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080993-1) |
Enumeration Date | 2009-08-26 |
Last Update Date | 2023-08-29 |