| NPI | 1780836783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1651) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303561) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2022-03-31 |