| NPI | 1881102994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801112383) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801101334) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA ASW84204) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW84204) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2022-07-18 |