NPI | 1295138766 |
---|---|
Former Name | CRISTINA M COSTA-RADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 220041) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01757) |
1041C0700X Social Worker, Clinical (Licence: MA 120668) | |
1041S0200X Social Worker, School (Licence: RI 70412) | |
Enumeration Date | 2014-09-29 |
Last Update Date | 2021-01-11 |