NPI | 1538945928 |
---|---|
Former Name | GABRIELLE TAYLOR GROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MD 27623) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06713600) |
Enumeration Date | 2023-09-01 |
Last Update Date | 2023-09-01 |