| 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 |