| NPI | 1225169501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA WILLITM469BK) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-06-05 |