| NPI | 1811425176 |
|---|---|
| Other Name | MICHELLE MARTIN-GOLLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60746121) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: WA LH60746121) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2019-06-06 |