NPI | 1932602760 |
---|---|
Former Name | BRINA MILTENBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105401) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101516) |
Enumeration Date | 2018-03-18 |
Last Update Date | 2019-08-21 |