| NPI | 1700040839 |
|---|---|
| Former Name | JACQUELINE M MAIZELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05472600) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05204400) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2011-09-19 |