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 |