| NPI | 1205479425 | 
|---|---|
| Former Name | HILLARY R BRUNT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801111277) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.021652) | 
| Enumeration Date | 2019-10-21 | 
| Last Update Date | 2022-01-05 |