| NPI | 1497222475 |
|---|---|
| Former Name | MICHELLE LYNN VALDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60390999) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |