NPI | 1144884073 |
---|---|
Former Name | TATIANA CHUNIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MA 125714) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-04-25 |
Last Update Date | 2022-11-16 |