| NPI | 1306230487 |
|---|---|
| Former Name | MARISSA MISSLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 27486) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097695) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2018-09-24 |