| NPI | 1487120978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLPC7406) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 7406) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA PLPC7406) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2019-10-28 |