| NPI | 1417407057 |
|---|---|
| Former Name | MEREDITH L MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9233) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 10935) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2025-05-13 |