NPI | 1679678114 |
---|---|
Former Name | DANYA M MICHAELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00002579) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2007-07-08 |