| NPI | 1063657351 |
|---|---|
| Former Name | LYNN LEANN MICHAEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015028) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801090195) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2011-12-19 |