| NPI | 1033999685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-09-10891) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-04-04 |