| NPI | 1568875276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014285) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401014285) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401014285) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-01-11 |