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 |