| NPI | 1366861551 |
|---|---|
| Former Name | MARISSA L MAPLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9267) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: CT PTN.0011947) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-10-21 |