| NPI | 1023359015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA PLC6812) |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2024-10-15 |