NPI | 1043092166 |
---|---|
Former Name | JESSICA LONZI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC SW16406CP) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW023995) |
Enumeration Date | 2023-10-16 |
Last Update Date | 2023-10-16 |