| NPI | 1487026902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801103804) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801099887) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2021-02-02 |