| NPI | 1528694064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 439L) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IA 19063) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2023-01-04 |