NPI | 1861872871 |
---|---|
Former Name | MEGHAN A MIZELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 8777C) |
Additional Taxonomies | 104100000X Social Worker (Licence: AR 8777-M) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2015-06-04 |
Last Update Date | 2021-04-21 |