NPI | 1144536939 |
---|---|
Former Name | AMANDA POLIZZI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094633-01) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
104100000X Social Worker (Licence: NY 098993-1) | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2010-08-31 |
Last Update Date | 2023-09-27 |