| NPI | 1659306876 |
|---|---|
| Former Name | MICHELLE R BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006644) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0904006644) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-07-06 |