| NPI | 1770052490 |
|---|---|
| Former Name | CORRYN ANDRIANUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 104773) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 093898) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2024-08-26 |