NPI | 1194036996 |
---|---|
Former Name | MACKENZIE PAIGE LERARIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL07034200) |
Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 275760) |
Enumeration Date | 2010-06-25 |
Last Update Date | 2024-10-06 |