| NPI | 1306154141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401010508) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-01677) |
| 104100000X Social Worker (Licence: MI 6802080312) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |