NPI | 1831207026 |
---|---|
Former Name | AMANDA BERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sco1472500) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY ro41346-1) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2007-07-08 |