| NPI | 1508160722 |
|---|---|
| Former Name | MAGGIE ESTELLE SHAVER-DOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: NJ 644309) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 835) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |