NPI | 1801027586 |
---|---|
Former Name | DEBRA MARCUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 5682-C) |
Additional Taxonomies | 247200000X Technician, Other (Licence: NY CNth#200510) |
104100000X Social Worker (Licence: NV 5557-N) | |
1041C0700X Social Worker, Clinical (Licence: CA LCS8748) | |
Enumeration Date | 2009-07-29 |
Last Update Date | 2022-02-15 |