NPI | 1396353801 |
---|---|
Former Name | MARISSA A GRAFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18992) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019291) |
Enumeration Date | 2020-07-21 |
Last Update Date | 2020-07-21 |