NPI | 1083999551 |
---|---|
Former Name | ASHLEIGH EWALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 6401014152) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2011-10-17 |
Last Update Date | 2014-05-05 |