| NPI | 1174924567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii058460518) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA RI-T1307081623) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2019-10-18 |