| NPI | 1699149294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801102962) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School | |
| 103K00000X Behavior Analyst | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2019-10-01 |