| NPI | 1568970689 |
|---|---|
| Former Name | CATHLEEN MERIE VANPATTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401016449) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2020-03-24 |