NPI | 1780159392 |
---|---|
Former Name | VANESSA R BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077514-R) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 1271972181) |
Enumeration Date | 2018-10-10 |
Last Update Date | 2018-10-10 |