| NPI | 1457685174 |
|---|---|
| Former Name | CARRIE JENNIFER CHILLEMI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-13027) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12702) |
| 1041C0700X Social Worker, Clinical (Licence: AZ 13027) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2022-04-26 |