| NPI | 1740484104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088360) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801088360) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6801088360) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2016-06-24 |