| NPI | 1770944704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 351225) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171W00000X Contractor (Licence: CA 351225) | |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2019-02-14 |