NPI | 1023839768 |
---|---|
Other Name | MICHELLE LYNN CANEPA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA PLC10210) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA LPC10212) |
Enumeration Date | 2024-10-23 |
Last Update Date | 2024-10-23 |