| 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 |