| NPI | 1700910353 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MI 6802020508)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6802020508)  | 
| 101YM0800X Counselor, Mental Health (Licence: MI 6802020508)  | |
| 104100000X Social Worker | |
| 251S00000X Community/Behavioral Health | |
| 101YS0200X Counselor, School | |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 171M00000X Case Manager/Care Coordinator | |
| 171W00000X Contractor | |
| 225800000X Recreation Therapist | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2007-03-15 | 
| Last Update Date | 2014-07-14 |