NPI | 1528534187 |
---|---|
Former Name | KARA KORENGOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093305) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 12975) |
Enumeration Date | 2018-10-22 |
Last Update Date | 2025-01-21 |