| NPI | 1720867559 |
|---|---|
| Former Name | DEBORAH ATSIDIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0136018) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 039610) |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00946945) | |
| 1041C0700X Social Worker, Clinical (Licence: PR SW141638) | |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-09-01 |