| NPI | 1164708525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: UT 315241-6006) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 315241-6006) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2020-06-04 |