| NPI | 1174581136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086090) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008367) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-01428) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3108) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2013-09-10 |