| NPI | 1164569042 |
|---|---|
| Former Name | ELIZABETH ANN TATRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114590) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01057) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-10-27 |