| NPI | 1215548722 |
|---|---|
| Former Name | MAKENZIE ELISE DEPETRILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2023-11-22 |