| NPI | 1003126970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401012200) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 104717) |
| 104100000X Social Worker (Licence: MI 6802063821) | |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |