NPI | 1285057968 |
---|---|
Former Name | JUDITH BINA MANDELBAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NY 3561228) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 3561228) |
Enumeration Date | 2014-01-30 |
Last Update Date | 2014-01-30 |