NPI | 1194018200 |
---|---|
Former Name | SANDRA J GRANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006101A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.007641) |
Enumeration Date | 2011-05-23 |
Last Update Date | 2011-05-23 |