NPI | 1720555881 |
---|---|
Former Name | ARMENTIA MICHELSEN REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00000657) |
Enumeration Date | 2018-10-26 |
Last Update Date | 2018-10-26 |