| NPI | 1073122040 |
|---|---|
| Former Name | CATHERINE A PASSALACQUA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801078028) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801078028) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: TN 5436) | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |