| NPI | 1891881074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801018573) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 1-02600) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101005654) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-10-17 |