| NPI | 1467880948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008390) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401008390) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401008390) | |
| 101YS0200X Counselor, School (Licence: MI 6401008390) | |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2015-07-06 |