| NPI | 1417455767 |
|---|---|
| Former Name | GLORIA MEZHERITSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06169300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05833600) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2020-05-20 |