| NPI | 1639690720 |
|---|---|
| Former Name | MICHELLE SOLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1198220415) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |