| NPI | 1558662668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8114-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15803-130) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2023-05-03 |