NPI | 1134556236 |
---|---|
Former Name | GINA DIFABIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 127940) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW02229) |
Enumeration Date | 2013-10-03 |
Last Update Date | 2024-06-25 |