| NPI | 1538664719 |
|---|---|
| Former Name | DANIELLE DICARLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9596-123) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-08-29 |