| NPI | 1831512938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI c-02311) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301012034) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |