| NPI | 1922556687 |
|---|---|
| Former Name | MICHAELENE SPENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc00619) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 301720) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2024-09-02 |