| NPI | 1437538717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R8137) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R8838) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2020-02-12 |