NPI | 1871045419 |
---|---|
Former Name | EMILY ANNE SHATAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 095421) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092199) |
Enumeration Date | 2016-10-31 |
Last Update Date | 2021-12-02 |