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 |