NPI | 1053784678 |
---|---|
Former Name | TATANYA ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094752) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 72078586) |
Enumeration Date | 2015-11-04 |
Last Update Date | 2024-05-30 |