| NPI | 1366111577 |
|---|---|
| Former Name | MICHELLE STIBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61526393) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2024-08-19 |