NPI | 1235292210 |
---|---|
Former Name | CHRISTINE M PISTONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-006100) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 10205-123) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2025-06-05 |