| NPI | 1306475983 |
|---|---|
| Former Name | SHIRLEY CHRISTINE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305471) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |