NPI | 1740327386 |
---|---|
Former Name | MICHELLE LEE HUBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6802079531) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091738) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2019-07-29 |