| NPI | 1316369739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 1041-11-15-19A) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ND 1792) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2020-09-03 |