| NPI | 1083119648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1203290615) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-07-26 |