NPI | 1245438357 |
---|---|
Former Name | JILL SCAGLIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-766) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID LCSW-766) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2011-08-23 |