| NPI | 1528503992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1631) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA CIT 3470) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2019-01-08 |