NPI | 1942685284 |
---|---|
Former Name | GERALDINE LESIEUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088061) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 094930) |
Enumeration Date | 2015-07-28 |
Last Update Date | 2019-05-06 |