| NPI | 1659805570 |
|---|---|
| Former Name | LEE ANN CHMELOVSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV L-1158) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |