NPI | 1174389324 |
---|---|
Former Name | UNIQUE MICHELLE KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 67001) |
Enumeration Date | 2024-02-26 |
Last Update Date | 2024-02-26 |