NPI | 1841625043 |
---|---|
Former Name | CHELSEA LOU KATIE MILLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095584) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801095584) |
Enumeration Date | 2013-09-06 |
Last Update Date | 2021-09-21 |