NPI | 1124178785 |
---|---|
Former Name | EMILY SHULMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 008500) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 078376) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2014-10-06 |