| NPI | 1144513615 |
|---|---|
| Former Name | SHIRLEY MARIE NAZARIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008352) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2018-09-25 |