NPI | 1285322602 |
---|---|
Former Name | MARCI JUSTICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4240C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW18797) |
Enumeration Date | 2023-04-25 |
Last Update Date | 2023-04-25 |