| NPI | 1033660295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA CIT-5452) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 11419) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 11419) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2022-08-29 |