| NPI | 1376769430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801034824) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401005377) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6801034824) | |
| 101YP2500X Counselor, Professional (Licence: MI 6801034824) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-07-30 |