NPI | 1235808593 |
---|---|
Former Name | MALKA GRUZMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 090619) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 4SL06351400) |
Enumeration Date | 2021-09-09 |
Last Update Date | 2021-09-09 |