| NPI | 1265452387 |
|---|---|
| Former Name | STEPHANIE DZIALO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115379) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-12-18 |