| NPI | 1427535772 |
|---|---|
| Former Name | STEPHANIE LISSETTE MOLINA LINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013420) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012484) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2022-04-11 |