NPI | 1730747320 |
---|---|
Former Name | ALYZA D CONWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 094350) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 096940) |
Enumeration Date | 2019-05-30 |
Last Update Date | 2025-06-05 |