| NPI | 1063301265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851120194) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6851120194) |
| 101Y00000X Counselor (Licence: MI 6851120194) | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |