| NPI | 1063567139 |
|---|---|
| Former Name | MERCY RUSSELL HYDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-0022) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 89-0000212) |
| 1041C0700X Social Worker, Clinical (Licence: AZ 19550) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2025-06-20 |