| NPI | 1104145580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801090166) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 6801090166) |
| 1041C0700X Social Worker Clinical (Licence: MI 6801090166) | |
| 1041S0200X Social Worker School (Licence: MI 6801090166) | |
| 171M00000X Case Manager/Care Coordinator (Licence: MI 6801090166) | |
| 251S00000X Community/Behavioral Health (Licence: MI 6801090166) | |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2024-10-07 |