| NPI | 1134628514 |
|---|---|
| Other Name | MICHELLE HYATT BAHNEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 6900) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 6900) |
| 101YP2500X Counselor Professional (Licence: SC 6900) | |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2019-10-11 |