NPI | 1124626882 |
---|---|
Former Name | MELISSA FESTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19113) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149022548) |
1041C0700X Social Worker, Clinical (Licence: CO csw09927672) | |
Enumeration Date | 2020-10-15 |
Last Update Date | 2024-05-16 |