NPI | 1215050141 |
---|---|
Former Name | DANA TOMASSI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 1596) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5595) |
Enumeration Date | 2007-04-07 |
Last Update Date | 2013-01-22 |