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 |