NPI | 1750722062 |
---|---|
Professional Name | KERENSA DANIELA GULLIVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 091284) |
Additional Taxonomies | 174H00000X Health Educator (Licence: NY 443701101) |
Enumeration Date | 2013-07-15 |
Last Update Date | 2019-03-06 |