| NPI | 1871994319 |
|---|---|
| Former Name | MICHELLE LEIGH IVEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013041) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2022-08-19 |