| NPI | 1528594959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14018) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-25624) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2023-02-22 |