| NPI | 1780189746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14366) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 14366) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 14366) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2021-08-17 |