| NPI | 1689211047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 5529) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2023-01-24 |