| NPI | 1497287882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA lac-5116) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: LA lmsw-16238) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2024-02-20 |