| NPI | 1508333634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2470A2800X Technician, Health Information, Assistant Record Technician |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 2470A2800X Technician, Health Information, Assistant Record Technician | |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |