| NPI | 1831219971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-00839) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802079603) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2013-01-09 |