| NPI | 1437719960 |
|---|---|
| Former Name | ANTOINETTE MONIQUE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401222860) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-09-22 |