| 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 |