| NPI | 1730655176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 14699) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1490871122) | |
| 106S00000X Behavior Technician | |
| 251B00000X Case Management | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2023-07-26 |