| NPI | 1720286057 |
|---|---|
| Other Name | JOEL ROUSSO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2020-03-19 |