| NPI | 1104044205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 01-047405) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-04-14 |