NPI | 1023701299 |
---|---|
Former Name | MICHELLE MEEK CORIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC70008024) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2305381) |
Enumeration Date | 2023-06-01 |
Last Update Date | 2025-08-04 |