| NPI | 1235519000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA SUDRC12436) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2023-11-30 |