NPI | 1982966586 |
---|---|
Former Name | CAITLIN FRAELICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801087283) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 680107283) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2016-11-01 |