| NPI | 1861694697 |
|---|---|
| Former Name | MICHELLE MANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60068722) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00054043) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2023-08-07 |