| NPI | 1760531271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-00667) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI L702054) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |