NPI | 1871873299 |
---|---|
Former Name | SASHA D VIRVO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 8796) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 72084454) |
Enumeration Date | 2011-08-17 |
Last Update Date | 2016-12-22 |