NPI | 1073235859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
163WX1500X Registered Nurse, Ostomy Care (Licence: MI 4704263386) | |
225200000X Physical Therapy Assistant | |
1041C0700X Social Worker, Clinical | |
163WW0000X Registered Nurse, Wound Care (Licence: MI 4704263386) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704263386) | |
363LF0000X Nurse Practitioner, Family (Licence: MI 4704301246NSA220SA) | |
Enumeration Date | 2022-09-19 |
Last Update Date | 2024-11-06 |