| NPI | 1174941157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012447) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C02376) |
| 101YM0800X Counselor, Mental Health (Licence: MI 318674) | |
| 225C00000X Rehabilitation Counselor (Licence: MI 00049518) | |
| 225X00000X Occupational Therapist (Licence: MI 5201000678) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2018-03-24 |