| NPI | 1437592334 |
|---|---|
| Former Name | DIANE L DATTILO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254402) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: KY 3512) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2022-12-05 |