| NPI | 1093034548 |
|---|---|
| Former Name | CONNIE LORRAINE GARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401001985) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-01837) |
| 101YS0200X Counselor, School (Licence: MI SC0000595) | |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2011-02-09 |