| NPI | 1760889612 |
|---|---|
| Former Name | MICHELE EMILY HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-1506) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |