| NPI | 1922783794 |
|---|---|
| Former Name | MIRANDA MARKLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 275864) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2025-05-09 |