NPI | 1891189429 |
---|---|
Professional Name | KELLY C DIGUILIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009898) |
Additional Taxonomies | 104100000X Social Worker (Licence: AK 467) |
1041C0700X Social Worker, Clinical (Licence: FL SW19515) | |
1041C0700X Social Worker, Clinical (Licence: NC C013089) | |
Enumeration Date | 2015-03-20 |
Last Update Date | 2022-09-06 |