| NPI | 1164819165 |
|---|---|
| Former Name | MAUREEN MIKINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4862) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9246) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2024-02-20 |