| NPI | 1235783275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801107687) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-25152) |
| 1041C0700X Social Worker, Clinical (Licence: NC C013646) | |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2022-06-03 |