| NPI | 1275989055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 5201) |
| 101YM0800X Counselor, Mental Health (Licence: LA 10679) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2026-01-21 |