| NPI | 1821414038 |
|---|---|
| Former Name | STEPHANIE NIENHUIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801100085) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 3802087973) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2020-01-14 |