NPI | 1417271206 |
---|---|
Former Name | RENEE L GANGI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 083895) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
104100000X Social Worker (Licence: NY 82750) | |
Enumeration Date | 2010-03-23 |
Last Update Date | 2023-07-03 |