| NPI | 1669754271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801089411) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-02511) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801089411) | |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2020-03-31 |