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 |