| NPI | 1538724232 |
|---|---|
| Former Name | SHELBY A FOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851116234) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2023-08-07 |