| NPI | 1790195543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802083511) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |