| NPI | 1881862423 |
|---|---|
| Former Name | CAROLINE FLORENCE IACONO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI ISW01879) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW01879) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 212494) | |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2023-03-18 |