| NPI | 1003247560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801091400) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2018-05-10 |