NPI | 1134652084 |
---|---|
Professional Name | LISSY NAVANTU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089227-01) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 098580) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2020-07-28 |