NPI | 1235506213 |
---|---|
Former Name | MICHELLE L BAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1703276) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1502037) |
Enumeration Date | 2015-08-26 |
Last Update Date | 2019-02-08 |