| NPI | 1760544522 | 
|---|---|
| Former Name | MARGARET ELIZABETH DEROSE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC1208) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LS4051) | 
| Enumeration Date | 2006-12-15 | 
| Last Update Date | 2019-06-11 |