| NPI | 1861667636 |
|---|---|
| Former Name | MICHELLE OWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001957A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000643A) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2012-09-17 |