| NPI | 1174211791 |
|---|---|
| Former Name | DEBRA NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801120917) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851116167) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2025-12-10 |