| NPI | 1508290115 |
|---|---|
| Former Name | TINA WERMERSKIRCHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 28014) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-28014) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2024-02-21 |