| NPI | 1891116000 |
|---|---|
| Former Name | AUDREY MARIE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA CW018374) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW128939) |
| 104100000X Social Worker (Licence: OH 1.1801370) | |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2024-03-28 |