NPI | 1972806214 |
---|---|
Former Name | TERESA MARIE MARSEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4882) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-12-08 |
Last Update Date | 2015-08-25 |