| NPI | 1649632977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 18009) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: IA 16046) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2020-12-22 |