| NPI | 1700110566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801082384) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801082384) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6801082384) | |
| 1041S0200X Social Worker, School (Licence: MI 6801082384) | |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |