| NPI | 1225601990 |
|---|---|
| Former Name | DANA CRANNAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092497) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 105214) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2022-09-08 |