NPI | 1316362460 |
---|---|
Former Name | VICTORIA E PATRELLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1500938-SUPV) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1302665) |
Enumeration Date | 2014-02-26 |
Last Update Date | 2019-03-26 |