| NPI | 1427270354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801078232) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801078232) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6801078232) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-04-08 |