| NPI | 1487305694 |
|---|---|
| Former Name | MEDIHA KOSOVRASTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085286-01) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 127555) |
| 104100000X Social Worker (Licence: CT 12869) | |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2024-03-04 |