| NPI | 1285650762 |
|---|---|
| Former Name | MARILYN RENEE' PLASTRIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12412) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 12636) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-02-28 |