NPI | 1548345333 |
---|---|
Professional Name | MARI GRANDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73 076740) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 72 071122) |
1041S0200X Social Worker, School (Licence: NY 72071122) | |
221700000X Art Therapist (Licence: NY 05000197) | |
Enumeration Date | 2006-10-27 |
Last Update Date | 2022-08-05 |