NPI | 1356480735 |
---|---|
Former Name | JUDY LENORE BERNSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8411) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY RO36687-1) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2007-07-08 |