| NPI | 1528288651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA PLC8826) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 3747P1801X Technician, Personal Care Attendant (Licence: LA PCA 11770) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: LA RC 6050) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: LA SIL 6949) | |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2023-05-05 |