NPI | 1053693812 |
---|---|
Former Name | TALIA TRACHTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 091242) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2011-09-16 |
Last Update Date | 2021-12-31 |