| NPI | 1083646988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 881-7-1-16-176) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ND 1180) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-02-28 |