| NPI | 1417339201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801099441) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 6801099441) |
| 104100000X Social Worker | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2025-02-21 |