| NPI | 1669217618 |
|---|---|
| Former Name | DANIELLE MARIE SKOCILICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-55816) |
| Enumeration Date | 2024-06-29 |
| Last Update Date | 2024-06-29 |