| NPI | 1548935786 |
|---|---|
| Former Name | NICHELLE HUBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61274091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2023-06-15 |