| NPI | 1548945728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: CRC00110219) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI LPC6401011244) |
| 101YM0800X Counselor, Mental Health (Licence: MI LPC6401011244) | |
| 106H00000X Marriage & Family Therapist (Licence: MI LPC6401011244) | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |