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 |