| NPI | 1932899093 |
|---|---|
| Former Name | SHELBEY WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117215) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851110325) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2024-05-09 |