| NPI | 1114431863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: LA CIT5072) |
| 104100000X Social Worker (Licence: LA 15883) | |
| 251B00000X Case Management | |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2021-03-17 |