| NPI | 1083174932 |
|---|---|
| Former Name | TAMMY LYNN RUTERBUSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106282) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801099721) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-01-31 |