| NPI | 1124570452 |
|---|---|
| Former Name | MINDY POSSEMATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 1194540) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 087779) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2021-05-14 |