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 |