NPI | 1467040477 |
---|---|
Former Name | CHRISTINA PALLOTTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 44SC06437000) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-01-05 |
Last Update Date | 2025-01-24 |