| NPI | 1538832092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: MI 6451018425) |
| 101YP2500X Counselor, Professional (Licence: MI 6451018425) | |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |