NPI | 1033620836 |
---|---|
Former Name | LAUREN HUISMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801104784) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801104784) |
Enumeration Date | 2017-10-19 |
Last Update Date | 2024-03-26 |