| NPI | 1730395351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114148) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 6130) |
| 1041C0700X Social Worker, Clinical (Licence: NY R054349) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2023-08-01 |