| NPI | 1801173802 |
|---|---|
| Former Name | MICHELLE LYNN ARCHBOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303132) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2026-05-04 |