| NPI | 1376880120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 14-03-24) |
| 171M00000X Case Manager/Care Coordinator (Licence: OR 14-03-24) | |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2020-09-23 |