| NPI | 1720140585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086172) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801086172) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6801086172) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2025-12-10 |