| NPI | 1619687910 |
|---|---|
| Former Name | MICHELLE MEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149022064) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2020013029) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2025-10-02 |