| NPI | 1306872262 |
|---|---|
| Former Name | MICHELLE MCFADDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005548A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33005100A) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-06-05 |