| NPI | 1891946653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401000012) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 200344) |
| 103TC1900X Psychologist, Counseling (Licence: MI 6301007823) | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |