NPI | 1215790266 |
---|---|
Former Name | MICHELLE CATHERINE CARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113596) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 094414) |
Enumeration Date | 2024-02-02 |
Last Update Date | 2024-02-02 |