| 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 |