| NPI | 1003203308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401224229) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-01625) |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker (Licence: MI 6803086372) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2025-01-17 |