NPI | 1730408287 |
---|---|
Former Name | MICHELLE LEA NEBHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64640) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YS0200X Counselor, School | |
Enumeration Date | 2010-05-24 |
Last Update Date | 2010-05-24 |