| NPI | 1316667686 |
|---|---|
| Former Name | KANDACE ROSE MARZINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801118614) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851101608) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2024-06-05 |