NPI | 1558710509 |
---|---|
Former Name | ALISON MAZZONI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120916) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 221195) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2020-01-24 |