| NPI | 1730852062 |
|---|---|
| Former Name | ROSALIE HUGHES FAZIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 228134) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2022-07-05 |