NPI | 1063062503 |
---|---|
Former Name | MICHELLE KIM SCHIMITSCHECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61005835) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-09-17 |
Last Update Date | 2021-02-11 |