| NPI | 1235775560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 17847) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 13226r) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2024-05-20 |