| NPI | 1336747773 |
|---|---|
| Former Name | RENEE MICHELLE VALLOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2021040797) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2019032908) |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2021-10-12 |