| NPI | 1811520042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223022) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 19R021) |
| 101YM0800X Counselor, Mental Health (Licence: IA 099192) | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2024-01-10 |