NPI | 1891103255 |
---|---|
Other Name | KASHMIR ROSE WOOD-KUSTANOWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 29674) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
1041C0700X Social Worker, Clinical (Licence: CA 79808) | |
Enumeration Date | 2014-07-30 |
Last Update Date | 2021-05-03 |