| NPI | 1043415276 |
|---|---|
| Former Name | MONIQUE CLAUDETTE RUSSELL-BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 61636) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 052482) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2019-05-16 |