NPI | 1235572835 |
---|---|
Other Name | INGRID JONES MANFREDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 09922) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA322) |
Enumeration Date | 2013-04-12 |
Last Update Date | 2022-11-10 |