| NPI | 1689001521 |
|---|---|
| Former Name | MARISSA LYNN ROMINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 31692) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2023-07-27 |