| NPI | 1508437278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 21-QMHA-R-1302) |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2023-05-02 |