| NPI | 1619629003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA PLC8934) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA PLC8934) |
| 101Y00000X Counselor (Licence: LA PLC8934) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA PLC8934) | |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |