NPI | 1346489853 |
---|---|
Former Name | PATRICIA TENERELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 023658-R) |
Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 023658-R) |
Enumeration Date | 2009-02-08 |
Last Update Date | 2009-02-08 |