| NPI | 1871817049 |
|---|---|
| Former Name | ANDREA L PATRIKIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 220342) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2014-12-11 |