NPI | 1538811195 |
---|---|
Former Name | ALISSA J GRANATO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927641) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CSW.09927641) |
Enumeration Date | 2022-01-24 |
Last Update Date | 2022-02-10 |