NPI | 1477878445 |
---|---|
Former Name | TERESA EILEEN BENNETT PASQUALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.019078) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 9749) |
Enumeration Date | 2010-04-02 |
Last Update Date | 2019-10-22 |