| NPI | 1033453139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801109132) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| 104100000X Social Worker (Licence: MI 6801109132) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2024-01-11 |