| NPI | 1063104362 |
|---|---|
| Former Name | MICHELLE DEUTSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-2069) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |