NPI | 1750619979 |
---|---|
Former Name | NICOLE MARIE VIDIRI |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 0798621) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 1257987) |
Enumeration Date | 2009-11-29 |
Last Update Date | 2013-03-25 |