| NPI | 1750904116 |
|---|---|
| Former Name | RILEY TIMMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114636) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104255) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-03-20 |