NPI | 1003382417 |
---|---|
Former Name | CARLI CAPESTANY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801112336) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW021324) |
Enumeration Date | 2018-10-23 |
Last Update Date | 2022-01-12 |