| NPI | 1780198259 |
|---|---|
| Former Name | MOLLIE STOCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255350) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2021-01-26 |