NPI | 1528572179 |
---|---|
Former Name | JESSICA IAGROSSI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 098767) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 098767-1) |
Enumeration Date | 2017-11-18 |
Last Update Date | 2018-12-06 |