| NPI | 1114062270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK PCOP905) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171M00000X Case Manager/Care Coordinator | |
| 372600000X Adult Companion (Licence: OR 372600000x) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2025-01-15 |