| NPI | 1578082467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 000024113) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 5688) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2023-09-01 |