NPI | 1518410760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YP2500X Counselor, Professional (Licence: CA 4147) | |
Enumeration Date | 2016-07-24 |
Last Update Date | 2020-04-16 |