| NPI | 1962903708 |
|---|---|
| Former Name | GINA GROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 1092-122) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 1092-122) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2021-04-15 |