| NPI | 1659726859 |
|---|---|
| Former Name | DIANNA RANDAZZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088676) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 096931) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2021-01-19 |