NPI | 1174953095 |
---|---|
Former Name | MARY MAE BIERLEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801091372) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091372) |
Enumeration Date | 2013-11-13 |
Last Update Date | 2024-07-31 |