| NPI | 1588065452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0184481) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0177341) | |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2017-03-10 |