NPI | 1164890471 |
---|---|
Former Name | CAITLYN J ROELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801103806) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097833) |
Enumeration Date | 2015-09-03 |
Last Update Date | 2023-05-03 |