| NPI | 1548539794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA AII053670318) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA CATC 112919) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2022-01-03 |