| NPI | 1306003116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NC 307575) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 1041C0700X Social Worker, Clinical | |
| 163WA2000X Registered Nurse, Administrator (Licence: NC 307575) | |
| 175T00000X Peer Specialist | |
| 291U00000X Clinical Medical Laboratory | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 171W00000X Contractor | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2025-02-21 |