| NPI | 1578051322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851117789) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2024-08-15 |