NPI | 1417348012 |
---|---|
Former Name | KARINA COLLADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087664) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: NY 088963) |
Enumeration Date | 2015-02-18 |
Last Update Date | 2019-09-26 |