| NPI | 1841322336 |
|---|---|
| Former Name | ANASTATIA POLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 069704) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069704-01) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2020-12-28 |