NPI | 1053617100 |
---|---|
Former Name | COURTNEY GARVELINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014251) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2011-02-08 |
Last Update Date | 2022-11-20 |