| NPI | 1265867220 |
|---|---|
| Former Name | ELANA CARISSA ZIPKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009637) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P008124) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2024-08-20 |