NPI | 1013672880 |
---|---|
Professional Name | MICHI MEDLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OK 21704) |
Additional Taxonomies | 106S00000X Behavior Technician |
175T00000X Peer Specialist | |
Enumeration Date | 2021-11-05 |
Last Update Date | 2025-05-23 |