| NPI | 1093159808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802086865) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2022-01-14 |