| NPI | 1992371140 |
|---|---|
| Former Name | CELESTE POTTER-ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117085) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801110006) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2023-08-31 |