| NPI | 1063998409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA B00003360324) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA B00003360324) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2026-05-07 |