| NPI | 1265560965 |
|---|---|
| Former Name | MAREN ANDREA NOVICOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923061) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2024-02-26 |