NPI | 1457160004 |
---|---|
Former Name | SIMONE GRILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 033363) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 033363) |
Enumeration Date | 2025-01-07 |
Last Update Date | 2025-01-07 |