NPI | 1841574969 |
---|---|
Former Name | AMANDA ELIZABETH GRAUBNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096165) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801096165) |
104100000X Social Worker | |
Enumeration Date | 2011-10-07 |
Last Update Date | 2022-06-07 |