| NPI | 1427441104 |
|---|---|
| Former Name | ANDREA RENSHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8280-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 21278) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2021-10-18 |