NPI | 1578030144 |
---|---|
Former Name | BRIANNA LAUREN GIANFORTUNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094283) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C016769) |
Enumeration Date | 2018-10-31 |
Last Update Date | 2025-05-06 |