| NPI | 1851846141 |
|---|---|
| Former Name | ANDREA MARIE MAISANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW13765) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL SW13765) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2023-04-06 |