| NPI | 1518545490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLC-11138) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA CIT-5311) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA CIT-5311) | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2026-03-03 |