| NPI | 1043557440 |
|---|---|
| Former Name | MICHAELA U KILCULLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121601) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2022-11-14 |