| NPI | 1639645344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 374700000X Technician | |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2022-02-11 |