| NPI | 1477191880 |
|---|---|
| Former Name | DEMARIE FUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AZ LMSW-17622) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 20633) |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2025-06-02 |