| NPI | 1306598792 |
|---|---|
| Former Name | LEEANN WHALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851116367) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2024-12-12 |