| NPI | 1235946740 |
|---|---|
| Former Name | MALLORIE MADILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: UT ACM-01882) |
| 175T00000X Peer Specialist (Licence: UT 1472) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |