| NPI | 1669894655 |
|---|---|
| Former Name | NICOLE PELLEGRINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084338-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 087681) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2017-03-27 |