| NPI | 1780162941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 13348) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 13348) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 13348) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2020-03-03 |