| 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 |