| NPI | 1487320297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: LA 8171) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2024-10-22 |