NPI | 1306115589 |
---|---|
Professional Name | JUDY GROSSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 001357-1) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: NY 001357-1) |
172V00000X Community Health Worker (Licence: CT 002216) | |
106H00000X Marriage & Family Therapist (Licence: NY 001357-1) | |
Enumeration Date | 2011-12-18 |
Last Update Date | 2012-01-10 |