| NPI | 1093354540 |
|---|---|
| Former Name | MARISSA PANICCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2344) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 10824) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2021-02-02 |