NPI | 1265079057 |
---|---|
Former Name | BRITTANY J PERROTTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025464) |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical (Licence: IL 150.105257) | |
Enumeration Date | 2019-11-29 |
Last Update Date | 2023-03-28 |