| NPI | 1063094639 |
|---|---|
| Former Name | MICHELLE MARIE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07238-I) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2024-08-05 |