| NPI | 1740392281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1606) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 7726) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-01-22 |