NPI | 1477933232 |
---|---|
Former Name | STEPHANIE LAKE GIARDINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 224761) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2015-06-05 |
Last Update Date | 2024-10-03 |