NPI | 1083017453 |
---|---|
Former Name | JOANNA CASTRILLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw006106) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I1450644) |
Enumeration Date | 2014-09-30 |
Last Update Date | 2024-03-27 |