NPI | 1942639984 |
---|---|
Former Name | ROSEMARIE RIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 082245) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 082245) |
Enumeration Date | 2013-11-08 |
Last Update Date | 2019-11-22 |