| NPI | 1073986428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA C04700117) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 00-85-0200517) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C040700117) | |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2024-06-19 |