| NPI | 1649428061 |
|---|---|
| Former Name | GINA MARIE BRANCATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12758) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 00076724) |
| 1041C0700X Social Worker, Clinical (Licence: NY 080483) | |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2015-09-07 |