| NPI | 1548258619 |
|---|---|
| Former Name | MICHELLE D STARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004059A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 34004059A) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2021-01-21 |