NPI | 1659685634 |
---|---|
Former Name | DEBORAH MANKITA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 00081225) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 080728) |
Enumeration Date | 2010-08-02 |
Last Update Date | 2014-07-14 |