| NPI | 1093853863 |
|---|---|
| Former Name | LINDA ANN RISSELADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801066138) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC12201) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2023-10-09 |