NPI | 1306289277 |
---|---|
Former Name | ASA RACQUEL GEMIGNANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 17401) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L5547) |
Enumeration Date | 2013-04-10 |
Last Update Date | 2021-12-30 |