| NPI | 1740593201 |
|---|---|
| Former Name | MICHELLE MARIE FLICKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2524) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 810-226) |
| 101YP2500X Counselor, Professional (Licence: WI 4848-125) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2025-01-21 |