| NPI | 1124126032 |
|---|---|
| Former Name | NANCY SCHULTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 6801062795) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |