| NPI | 1689106080 |
|---|---|
| Former Name | EMILY MARIE AZZARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001446) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018487) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-08-04 |