| NPI | 1437534203 |
|---|---|
| Former Name | AMANDA J MICHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 16011) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 8653) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2017-04-19 |