| NPI | 1518445204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: VA 0732000133) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0711000285) |
| 175T00000X Peer Specialist (Licence: VA 0735000015) | |
| 251B00000X Case Management (Licence: VA 0732000133) | |
| 251E00000X Home Health (Licence: VA 0732000133) | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |