NPI | 1154698637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR A3441) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 13-06-48) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2011-11-28 |
Last Update Date | 2023-09-14 |