| NPI | 1295863801 |
|---|---|
| Former Name | MICHELE ROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7988) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 11335) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2026-05-15 |