NPI | 1285186635 |
---|---|
Former Name | MICHELLE MARIE HUTCHINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CP5531-R) |
101YM0800X Counselor, Mental Health (Licence: MA 1000332) | |
106S00000X Behavior Technician | |
Enumeration Date | 2016-11-02 |
Last Update Date | 2024-01-02 |