| NPI | 1932473105 |
|---|---|
| Former Name | MICHELLE LEE SCHMOLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303300) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2015-02-06 |