| NPI | 1417922097 |
|---|---|
| Former Name | MARLENE FRANCES BALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI L760944) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI L760944) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2007-07-08 |