NPI | 1992018303 |
---|---|
Former Name | MICHELLE MARIE ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1451027-SUPV) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2010-07-15 |
Last Update Date | 2021-02-04 |