| NPI | 1891934873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 4662) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 201903) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801089731) | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2020-10-23 |