NPI | 1023687415 |
---|---|
Former Name | RAE LYNN HELTERBRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222733) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017360) |
Enumeration Date | 2021-06-21 |
Last Update Date | 2022-09-17 |