NPI | 1073265054 |
---|---|
Former Name | MELANIE TOLISANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CT 009305) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 009305) |
Enumeration Date | 2022-01-21 |
Last Update Date | 2023-02-13 |