NPI | 1467074336 |
---|---|
Former Name | NATALIE D RUGGIERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18901) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-18901) |
Enumeration Date | 2020-05-13 |
Last Update Date | 2020-08-07 |