| NPI | 1770203390 |
|---|---|
| Professional Name | MISSY RUSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 108687) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 108697) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2023-03-21 |