NPI | 1366071086 |
---|---|
Former Name | ANGELA C RESTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05926) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 11263) |
Enumeration Date | 2020-04-04 |
Last Update Date | 2024-09-27 |