| NPI | 1114551199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci39490723) |
| 175T00000X Peer Specialist (Licence: CA DVUMNOBKRISJTZPQ) | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2023-12-04 |