| NPI | 1568982478 |
|---|---|
| Former Name | SAMOEUTROEUTTEANA MICHELLE MAO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123003) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 222995) |
| 1041C0700X Social Worker, Clinical (Licence: HI 4545) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-07-21 |