NPI | 1407889553 |
---|---|
Former Name | ANN SYDOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075345) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 061363) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2021-04-09 |