NPI | 1669056321 |
---|---|
Former Name | FALLON F KNOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119903) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801109567) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2025-04-10 |