| NPI | 1912055377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090121) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6803084991) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI CACR) | |
| 101YP2500X Counselor, Professional (Licence: MI CCSR) | |
| 171M00000X Case Manager/Care Coordinator (Licence: MI 6801090121) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI S-20076) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-05-21 |