| NPI | 1447525217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401003860) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401003860) |
| 106H00000X Marriage & Family Therapist (Licence: MI 6401003860) | |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |