| NPI | 1528132230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 102491) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401001407) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301007851) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801060288) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |