| NPI | 1902430713 |
|---|---|
| Former Name | MAREAH MIHALOVIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 20556) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 13230-R) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2025-03-27 |