NPI | 1164969069 |
---|---|
Other Name | BROOKE ANN MAHALICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05866200) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2017-01-30 |
Last Update Date | 2020-10-20 |