NPI | 1710476106 |
---|---|
Former Name | CELINA MARIE CASTELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 123332) |
Additional Taxonomies | 104100000X Social Worker (Licence: AK 103059) |
104100000X Social Worker (Licence: TX 56083) | |
104100000X Social Worker (Licence: AL 2917G) | |
Enumeration Date | 2018-05-01 |
Last Update Date | 2018-05-02 |