NPI | 1780201814 |
---|---|
Former Name | SARAH STANZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851116034) |
Additional Taxonomies | 156F00000X Technician/Technologist |
Enumeration Date | 2020-07-06 |
Last Update Date | 2023-04-12 |