| NPI | 1053090159 |
|---|---|
| Former Name | KAMMI JO MICHAEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |