NPI | 1437636735 |
---|---|
Former Name | MICHELLE LEE GORSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8271-125) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18570) |
101YP2500X Counselor, Professional (Licence: WI 8971-20) | |
104100000X Social Worker (Licence: WI 8971) | |
Enumeration Date | 2018-07-19 |
Last Update Date | 2021-12-06 |