| NPI | 1245711688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: OR 201393108RN) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |