NPI | 1588122287 |
---|---|
Former Name | MARGERY BRUMMEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095014) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801095014) |
Enumeration Date | 2019-03-12 |
Last Update Date | 2024-10-01 |