| NPI | 1518203140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 0973) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171R00000X Interpreter | |
| 174H00000X Health Educator | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |