| NPI | 1720160138 |
|---|---|
| Former Name | ALLISON ELIZABETH MARCUS-FENNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006512) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0904006378) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2023-08-21 |