NPI | 1871038471 |
---|---|
Former Name | MICHELLE MARLENE BOGART-MONTEITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C4976) |
Enumeration Date | 2017-01-05 |
Last Update Date | 2024-01-29 |