| NPI | 1205089018 |
|---|---|
| Former Name | MICHELLE DAWN HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WA RC60023981) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RC60023981) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2009-08-27 |