| NPI | 1194380378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA 5264) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 5264) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2023-06-08 |