| NPI | 1306399167 |
|---|---|
| Former Name | MARY MICHELLE GILBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 7650-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 083784-1) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2024-07-24 |