| NPI | 1629470117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 051138II) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A9090613) | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2016-01-27 |