| NPI | 1235507302 |
|---|---|
| Former Name | FALLON MARIE ROSSI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015388) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P011368) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2023-03-28 |