| NPI | 1275658205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6802018766) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401001984) |
| 104100000X Social Worker (Licence: MI 6802018766) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-04-02 |