| NPI | 1700603909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LAAC-15597) |
| 174H00000X Health Educator | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2025-12-06 |