| NPI | 1366844391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA 8919) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 8219) |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 00727993) | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2019-04-23 |