| NPI | 1740834753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1301180318) | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2023-04-26 |