| NPI | 1184367054 |
|---|---|
| Former Name | KARLEENA ANN TILLOTTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116662) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2024-10-07 |