NPI | 1467577429 |
---|---|
Former Name | JUDITH A. MARKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 2003-123) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 502-124) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2007-07-08 |