| NPI | 1568701019 |
|---|---|
| Former Name | GISELLE NOBOA GALLART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 098888) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 090315) |
| 251S00000X Community/Behavioral Health (Licence: NY 141397918) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2023-09-07 |