| NPI | 1376001297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 172A00000X Driver | |
| Enumeration Date | 2019-03-10 |
| Last Update Date | 2024-07-05 |