| NPI | 1306239520 |
|---|---|
| Former Name | MICHELLE WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 32167) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2019-10-02 |