NPI | 1164893988 |
---|---|
Former Name | VICTORIA VASELEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088360) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 096166) |
Enumeration Date | 2015-10-20 |
Last Update Date | 2020-02-03 |