| NPI | 1750795548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA A8650313) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2020-02-27 |