| NPI | 1801364153 |
|---|---|
| Former Name | MICHAELA DIEKRAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7250) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2025-02-18 |