NPI | 1699380279 |
---|---|
Former Name | GABRIEL TUZZOLINO WILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A14241) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-09-10 |
Last Update Date | 2023-10-27 |