| NPI | 1497080550 |
|---|---|
| Former Name | REBECCA WENK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086934) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 00009656) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2018-12-20 |