| NPI | 1093878407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401007991) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401007991) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2014-12-05 |