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 |