| NPI | 1629433016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 8890) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 5208) |
| 104100000X Social Worker (Licence: LA 8890) | |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2026-02-18 |