| NPI | 1174941652 |
|---|---|
| Former Name | BROOKE SQUIBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095704) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801095704) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-11-04 |