NPI | 1174893895 |
---|---|
Former Name | MICHELLE HERNANDEZ, HELDENBRAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4777) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 429) |
1041C0700X Social Worker, Clinical (Licence: MO 2023018243) | |
Enumeration Date | 2012-01-11 |
Last Update Date | 2024-10-28 |