NPI | 1750769436 |
---|---|
Former Name | ANNA KNESTAUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088431) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 72091844) |
Enumeration Date | 2015-05-13 |
Last Update Date | 2021-02-05 |