| NPI | 1144985573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171100000X Acupuncturist (Licence: MI 14999) | |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-03 |