| NPI | 1992867568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801079215) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801079215) |
| 106H00000X Marriage & Family Therapist (Licence: MI 6801079215) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801079215) | |
| 101YM0800X Counselor, Mental Health (Licence: MI 6801079215) | |
| 101Y00000X Counselor (Licence: MI 6801079215) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |