| NPI | 1396918520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-00561) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401006855) |
| 104100000X Social Worker (Licence: MI 6802070297) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |