| 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 |