| NPI | 1679393318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CDCA.185357) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |