| NPI | 1194487538 |
|---|---|
| Former Name | MARISSA STANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27552) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 27552) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2025-08-19 |