NPI | 1376300863 |
---|---|
Former Name | KAREN PALOMBO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53967) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12047) |
Enumeration Date | 2024-03-01 |
Last Update Date | 2024-03-01 |