NPI | 1861022022 |
---|---|
Other Name | ANGELIQUE FISCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17000-131) |
Enumeration Date | 2020-01-16 |
Last Update Date | 2023-07-06 |