NPI | 1801330535 |
---|---|
Former Name | DANIELLE SPIEKERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851114514) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
1041C0700X Social Worker, Clinical (Licence: MI 6801118811) | |
247200000X Technician, Other | |
Enumeration Date | 2016-12-14 |
Last Update Date | 2024-12-19 |