| NPI | 1184228918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA WTS05141020) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A051790520) | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2021-01-06 |