| NPI | 1437704327 |
|---|---|
| Former Name | KELSEA DANIELLE BUCHANAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801112284) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2024-03-18 |