NPI | 1700523628 |
---|---|
Former Name | MICHELLE DENISE KARASICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
172V00000X Community Health Worker | |
Enumeration Date | 2022-05-13 |
Last Update Date | 2023-06-29 |