| NPI | 1053785758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0709025903) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0732004768) |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2025-09-25 |