| NPI | 1518539535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801120348) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2025-07-01 |