NPI | 1679224331 |
---|---|
Former Name | ADRIANA CROSBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2488) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134434) |
Enumeration Date | 2022-01-14 |
Last Update Date | 2022-08-02 |