NPI | 1134597859 |
---|---|
Former Name | SARA OMBRELLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020049) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801098372) |
Enumeration Date | 2015-09-11 |
Last Update Date | 2018-12-05 |