NPI | 1710431838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801099634) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 6801099634) |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2016-08-05 |
Last Update Date | 2022-03-15 |