NPI | 1346875465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA 10824) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1360580819) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 10824) | |
Enumeration Date | 2020-03-09 |
Last Update Date | 2021-04-28 |