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 |