| NPI | 1063764678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7034) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: CO 7034) | |
| 171M00000X Case Manager/Care Coordinator (Licence: CO 7034) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2019-03-19 |