| NPI | 1598921785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA C24671214) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2015-06-03 |