NPI | 1346632007 |
---|---|
Former Name | JOELLEN MARIE HELDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4030407) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014177) |
101YP2500X Counselor, Professional (Licence: KY 174708) | |
103TC1900X Psychologist, Counseling (Licence: MI 6301015869) | |
Enumeration Date | 2015-03-04 |
Last Update Date | 2024-11-15 |