| NPI | 1821471129 |
|---|---|
| Former Name | MICAH SHIRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0205691) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC.0104680) |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2023-09-12 |