NPI | 1619446721 |
---|---|
Former Name | ALESSIA GRUNENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094266) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 104756) |
Enumeration Date | 2018-11-19 |
Last Update Date | 2024-06-06 |