| NPI | 1255953303 |
|---|---|
| Former Name | KATIE JO MICHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015217) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16263) |
| 1041C0700X Social Worker, Clinical (Licence: TX 112762) | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2025-08-22 |