NPI | 1235303942 |
---|---|
Former Name | MICHELLE DELONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0007811.supv) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I.0007811-SUPV) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2024-08-02 |