NPI | 1588017586 |
---|---|
Former Name | GRACE MARIE DOBROVOLC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 092160) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 097857) |
Enumeration Date | 2016-07-14 |
Last Update Date | 2024-06-24 |