| NPI | 1316689565 |
|---|---|
| Former Name | MICAYLA M FRITSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11174-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 132403) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2024-09-27 |