| NPI | 1831638550 |
|---|---|
| Former Name | SONIA RUTH EMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 27382) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: MO 2017041638) | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2022-10-12 |