NPI | 1316486806 |
---|---|
Former Name | NADINE BOSSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084799) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 69758) |
Enumeration Date | 2017-02-16 |
Last Update Date | 2019-03-20 |