| NPI | 1538551684 |
|---|---|
| Former Name | NATALEE JADE MUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1737) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2021-05-24 |