| NPI | 1033274261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 64010007336) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401007336) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401007336) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-05-04 |