| NPI | 1306950928 |
|---|---|
| Former Name | STACEY ELIZABETH MARUSKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25075) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0600024) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-06-22 |