NPI | 1578858148 |
---|---|
Former Name | CYNTHIA CALLY ROSENBLUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW74002) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-06-12 |
Last Update Date | 2016-11-15 |