| NPI | 1700625795 |
|---|---|
| Former Name | IVY KAMINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: 101248) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 101248) |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |