NPI | 1811184500 |
---|---|
Former Name | KIM GAJKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 072738-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R07672601) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2020-04-28 |