NPI | 1659352573 |
---|---|
Other Name | RENA NATHANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004542A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-006655) |
Enumeration Date | 2005-11-08 |
Last Update Date | 2011-11-05 |