| NPI | 1942739925 |
|---|---|
| Former Name | MAYGAN MICHELE HULL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.019983) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-05-11 |