| NPI | 1720681570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 174400000X Specialist (Licence: OR 20-QMHA-R-0782) | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2021-01-27 |