| NPI | 1629419593 |
|---|---|
| Former Name | MAGGI QUACKENBUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 5040273-3902) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2018-03-17 |