| NPI | 1174071682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18293) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MCAP100797) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS101075) | |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2024-09-19 |