| NPI | 1265987531 |
|---|---|
| Former Name | CAROLYN GABRIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095530) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2024-04-30 |