| NPI | 1386829091 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACA6230) | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-01-02 | 
| Last Update Date | 2015-07-07 |