| NPI | 1790253987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 374U00000X Home Health Aide (Licence: CA 7516139965) | |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2023-01-25 |