| NPI | 1811345085 |
|---|---|
| Former Name | LAURA MARIE GEIERSBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801111302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-05-28 |
| Last Update Date | 2021-10-25 |