| NPI | 1245922939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 171M00000X) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2025-10-02 |