| NPI | 1104338417 |
|---|---|
| Former Name | MICHELE RENEE YAQUINTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401016242) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2025-08-22 |