NPI | 1265900245 |
---|---|
Former Name | JENA ELIZABETH MILARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11231) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2018-11-07 |
Last Update Date | 2020-11-06 |