NPI | 1053429332 |
---|---|
Former Name | ALLISON L SEBASTIAO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01926) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 125388) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2023-02-02 |