| NPI | 1558730002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TR0400X Psychologist, Rehabilitation | |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |