| NPI | 1992058879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801093866) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801093866) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6801093866) | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |