| NPI | 1306313846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker (Licence: MI 6801107198) | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2024-03-01 |