| NPI | 1245507060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6802087097) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2022-06-30 |