| NPI | 1679217194 |
|---|---|
| Former Name | MICHELLE VAN CAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1203-6-15-22A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2023-05-12 |