| NPI | 1730521972 |
|---|---|
| Former Name | MADELYN AMENTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017485) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.013807) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2015-06-22 |