| NPI | 1952760670 |
|---|---|
| Former Name | MICHELLE NICOLE LYNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 19-08-05) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 20-QMHP-R-0145) |
| 175T00000X Peer Specialist (Licence: OR 19-CRM-II-006) | |
| 175T00000X Peer Specialist (Licence: OR 15-CRM-105) | |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2021-12-31 |