| NPI | 1538596978 |
|---|---|
| Former Name | MICHELLE CAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF 74043) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA IMF 74043) |
| 225400000X Rehabilitation Practitioner (Licence: CA IMF 74043) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-02 |