| NPI | 1578625539 |
|---|---|
| Former Name | JANE MASSIE MARBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI LCSW 594-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI LCSW 594-123) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |