| NPI | 1679009872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-10837) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM X-10837) | |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2019-12-02 |