| NPI | 1063937472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ND 1821) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ND 1038-11-1-19A) |
| 104100000X Social Worker (Licence: ND 4835) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-07-21 |