| NPI | 1356694491 |
|---|---|
| Former Name | ALISSA RENEE BLEECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095158) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2025-03-27 |