NPI | 1972663615 |
---|---|
Former Name | MICHELLE E BOSSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2650) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00054698) |
101YM0800X Counselor, Mental Health (Licence: WA LH60180617) | |
Enumeration Date | 2006-12-11 |
Last Update Date | 2021-12-21 |