| NPI | 1821194911 |
|---|---|
| Other Name | JODI SUSANNE MONEBRAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC12517) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ME MC10617) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2010-05-24 |