| NPI | 1396497426 |
|---|---|
| Former Name | DAWN MARIE MOSHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 131782121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 28453) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |