| NPI | 1699137349 |
|---|---|
| Former Name | MICHELLE LYNN NIEUWENHEIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5718) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 5718-125) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2018-07-12 |