| NPI | 1982260519 |
|---|---|
| Former Name | MICHELLE CAMILLE PIERCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256962) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8350) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2022-08-04 |