NPI | 1184959736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401011729) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional (Licence: MI 6401011729) | |
Enumeration Date | 2009-10-14 |
Last Update Date | 2023-12-14 |