| NPI | 1720545544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY LAT-410) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY PAT-087) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2023-09-07 |