NPI | 1912385469 |
---|---|
Former Name | MICHELLE SCHULTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF84641) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2015-05-15 |
Last Update Date | 2015-10-15 |