NPI | 1548366776 |
---|---|
Former Name | JOANNA L. MARCELLETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 071462) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 071462) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2011-02-02 |