| NPI | 1154711794 |
|---|---|
| Former Name | BRITTANY FUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851118893) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2024-09-14 |