| NPI | 1154308419 |
|---|---|
| Former Name | MARY K TRENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8260) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 10287) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2023-11-03 |