| NPI | 1467582130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 1173) |
| 1041C0700X Social Worker, Clinical (Licence: MT 911) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2017-11-29 |