| NPI | 1346785045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401016038) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401016038) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2018-08-04 |