| NPI | 1982136438 |
|---|---|
| Former Name | MACKENZIE JO VANDERMEI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802089499) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801109951) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-02-02 |