| NPI | 1992943971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085572) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C00908) |
| 104100000X Social Worker (Licence: MI 6801085572) | |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2020-12-17 |