| NPI | 1831569482 |
|---|---|
| Former Name | MARIAH F FITZPATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.1600714) |
| 104100000X Social Worker (Licence: OH S.1600714) | |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2021-04-21 |