| NPI | 1134371677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: CA 1568648590) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251S00000X | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |