NPI | 1366834608 |
---|---|
Former Name | SUSAN CAMMARATA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 3252) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000107475) |
163W00000X Registered Nurse (Licence: NY 349930-1) | |
Enumeration Date | 2015-02-24 |
Last Update Date | 2015-02-24 |