| NPI | 1669828984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 4251) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2024-06-04 |