| NPI | 1316078827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 12-R-10) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401009167) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-02526) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI ICAADC: 20651) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-09-06 |