| NPI | 1164870812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2023-04-04 |