| NPI | 1780182303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 4094) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 16710) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2022-12-19 |