| NPI | 1689008609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013850) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101Y00000X Counselor (Licence: MI 6401013850) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2024-05-30 |