NPI | 1053600304 |
---|---|
Former Name | KATHERINE CEDENO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079100-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007878) |
1041C0700X Social Worker, Clinical (Licence: NJ 44sc06043400) | |
Enumeration Date | 2011-04-06 |
Last Update Date | 2022-01-19 |