| NPI | 1912363250 |
|---|---|
| Former Name | AUTUMN N WARREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6301016346) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |