| NPI | 1194315499 |
|---|---|
| Former Name | BRITTNEY A. MIZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18804-130) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2024-01-02 |