NPI | 1023222023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YS0200X Counselor, School | |
104100000X Social Worker (Licence: MI 6801085715) | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2023-09-22 |