| NPI | 1043405673 |
|---|---|
| Former Name | EMILY RUSSELL WING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker School |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCSW64032) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2022-08-05 |