NPI | 1538646500 |
---|---|
Former Name | DIANE LYNN GIARRUSSO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01545) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2018-07-23 |
Last Update Date | 2023-03-24 |