NPI | 1477832467 |
---|---|
Former Name | MICHELLE ELIZABETH BILTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 12053) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-08-09 |
Last Update Date | 2016-01-15 |