| NPI | 1215491527 |
|---|---|
| Former Name | ANASTASIA MARIE NEWBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19038) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22134) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2024-08-21 |