| NPI | 1912203449 |
|---|---|
| Former Name | HOLLY JOY VANDERBIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801091711) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091711) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2016-11-30 |