| 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 |