| NPI | 1013687979 |
|---|---|
| Former Name | OLIVIA DELONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801121971) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851116268) |
| 104100000X Social Worker | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2026-04-01 |