NPI | 1497316400 |
---|---|
Former Name | BREANNA MARIE SCHUETZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C014113) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P013421) |
Enumeration Date | 2019-06-21 |
Last Update Date | 2022-07-15 |