NPI | 1558758367 |
---|---|
Former Name | CASEY MICHELLE PAGLIARULO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006812) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-04-20 |
Last Update Date | 2019-09-05 |