NPI | 1215247366 |
---|---|
Former Name | JENNA T ZITO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016148) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 074652-1) |
1041C0700X Social Worker, Clinical (Licence: NY 080606-1) | |
Enumeration Date | 2010-10-07 |
Last Update Date | 2014-05-08 |