| NPI | 1144596073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-02245) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801084965) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2020-02-24 |