| NPI | 1295185387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011539) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-01930) |
| 103TC1900X Psychologist, Counseling (Licence: MI 6301013854) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |