| NPI | 1437563491 |
|---|---|
| Former Name | MICHELLE MARIE INMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60144629) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC10097065) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |