| NPI | 1033341417 |
|---|---|
| Former Name | AZURE MARIE MAHUNIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13101) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC12195) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2011-07-25 |