| NPI | 1689195232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801099369) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 2-01491) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |