| NPI | 1912385469 | 
|---|---|
| Former Name | MICHELLE SCHULTE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203565)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108012)  | 
| Enumeration Date | 2015-05-15 | 
| Last Update Date | 2024-12-09 |