| NPI | 1588202287 |
|---|---|
| Former Name | ANDREA MOSKOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05463) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2020033719) |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2023-08-23 |