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 (Licence: NY 141397918) | |
Enumeration Date | 2013-02-04 |
Last Update Date | 2023-09-07 |