| NPI | 1538655253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 374700000X Technician |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 15015) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2024-07-17 |