| NPI | 1659502110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801091291) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801091291) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6801091291) | |
| Enumeration Date | 2009-08-01 |
| Last Update Date | 2016-11-02 |