NPI | 1144617523 |
---|---|
Former Name | HOLLY DELGROSSO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019120) |
Additional Taxonomies | 101Y00000X Counselor (Licence: PA SW130601) |
Enumeration Date | 2015-04-23 |
Last Update Date | 2024-03-11 |