| NPI | 1073022620 |
|---|---|
| Former Name | GRACE SCHOENBORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 6801117367) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2024-02-13 |