| NPI | 1316434202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 374700000X Technician (Licence: CA R1235910816) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1235910816) | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-09-06 |