| NPI | 1114062270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 372600000X Adult Companion (Licence: OR 372600000X) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-06-28 |