NPI | 1194891127 |
---|---|
Former Name | DEBRA ANNE DOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075494) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10577) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2015-02-06 |