| NPI | 1447429105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C00729) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33002992A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35001221A) | |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |