| NPI | 1740879501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1374790120) |
| 106S00000X Behavior Technician (Licence: CA R1374790120) | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |